Insurance Carrier	Facility/Professional	Modifier	Low Price	Median Price	High Price
Aetna Facility/Professional Facility Modifier Low / Median / High Price $13.91 / $22.12 / $111.89	Facility		$13.91	$22.12	$111.89
Aetna Facility/Professional Professional Modifier Low / Median / High Price $13.29 / $16.05 / $16.29	Professional		$13.29	$16.05	$16.29
Ambetter Facility/Professional Professional Modifier Low / Median / High Price $8.57 / $8.57 / $8.57	Professional		$8.57	$8.57	$8.57
AmeriHealth Facility/Professional Facility Modifier Low / Median / High Price $442.80 / $442.80 / $442.80	Facility		$442.80	$442.80	$442.80
AmeriHealth Facility/Professional Professional Modifier Low / Median / High Price $13.49 / $24.73 / $34.00	Professional		$13.49	$24.73	$34.00
Cigna Facility/Professional Facility Modifier Low / Median / High Price $12.57 / $39.70 / $82.39	Facility		$12.57	$39.70	$82.39
Cigna Facility/Professional Professional Modifier Low / Median / High Price $11.60 / $14.63 / $24.39	Professional		$11.60	$14.63	$24.39
Emblem Health Facility/Professional Professional Modifier Low / Median / High Price $7.19 / $9.89 / $14.38	Professional		$7.19	$9.89	$14.38
Horizon BCBS Facility/Professional Facility Modifier Low / Median / High Price $12.59 / $8,702.00 / $13,785.00	Facility		$12.59	$8,702.00	$13,785.00
Horizon BCBS Facility/Professional Professional Modifier Low / Median / High Price $12.59 / $12.59 / $16.52	Professional		$12.59	$12.59	$16.52
United Facility/Professional Facility Modifier Low / Median / High Price $8.44 / $17.98 / $36.90	Facility		$8.44	$17.98	$36.90
United Facility/Professional Professional Modifier Low / Median / High Price $6.96 / $10.79 / $20.37	Professional		$6.96	$10.79	$20.37